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Providence Health System - Southern California

Skilled Nursing Facility in North Hollywood, CA · enumerated 2006 · authorized official Donald Anderson, Assistant Secretary for Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477647444

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health System - Southern California
Other name <Unavail>
Practice address 10425 Magnolia Blvd, North Hollywood, CA, 91601
Enumeration date Oct 3, 2006
Last updated in NPPES May 16, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 920000070 (CA) Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary for Enrollment

Other identifiers

Identifier Type State Issuer
ZZT05192H Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Providence Health System - Southern California?
The NPI for Providence Health System - Southern California is 1477647444, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Health System - Southern California?
NPPES lists Donald Anderson (Assistant Secretary for Enrollment) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-16.